Carolina Wreath Fax Order Form
 Print out form above, fill out information needed and FAX to 252-985-2909

Ordered by:
Company Name:_________________________________________________

Your Name:_____________________________________________    BUY 5 WREATHS & GET 6TH FREE..
                                                                                                  LIMIT 1 PER CUSTOMER PER ORDER.
Street Number:__________________________________________     (Shipping not Included)
(No P.O. Boxes) ($10.00 handling charge for incorrect delivery addresses)

City___________________________  State______ Zip:_________

Phone:___________________ Fax:_________________ Email:_______________________________
Items Ordered:
Quantity Description Cost per Wreath Total Cost
       
       
       
       
       
       
       
       
Message Card Info:
Sub-Total  
Discount: 10+ Wreaths = 5%   20+ Wreaths = 10%  
For Wreath orders of 50 or more subtract 20%  
N.C. residents add 7.75% sales tax  
Shipping and Handling with correct address FREE
Grand Total  
Payment Method:
Credit Card Number:____________________________________________

MC___      Visa___      Amex____               Card Expires:_________

Name as it appears on card: ______________________________________

Your Signature:________________________________________________

Daytime Phone: _________________ Fax:/Phone:____________________

Check _____        Amt. of Check  $ __________ Check #_________

Make checks payable to: Carolina Wreath Co.

Please print additional copies if extra forms are needed.
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